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General NPI Number Information
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NPI Number | 1447794458
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Entity Type | Organization
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Legal Business Name | BUFFALO ERGONOMICS OT SERVICES, PLLC
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Dates
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Enumeration Date | 12/09/2016
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Last Update Date | 12/09/2016
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Provider Practice Location Address
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Address Line | 235 HIGHLAND PKWY
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City | TONAWANDA
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State | NY
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Zip | 14223-1407
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Country | US
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Telephone | 716-873-7263
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Fax | 716-873-7290
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Provider Business Mailing Address
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Address Line | 235 HIGHLAND PKWY
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City | TONAWANDA
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State | NY
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Zip | 14223-1407
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Country | US
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Telephone | 716-873-7263
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Fax | 716-873-7290
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Authorized Official
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Title or Position | CEO
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Name | MARY RUTH ORRANGE
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Credential | OTR/L
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Telephone | 716-873-7263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | 008258-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | 011329-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | 018298-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | 008611-1
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | 005515-1
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License Number State | NY
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